Active NPI
Michael Greene, LMSW
- Clinical Social Worker
- Little Neck, NY
National Provider Identifier
1962716332
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 44SC05430800
- Practice address
- 24302 Northern Blvd
Little Neck, NY 11362-1150 - Phone
- (718) 423-6200
- NPI assigned
- Jul 28, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 44SC05430800 | NJ | Primary |
| Social Worker | 104100000X | 073545-1 | NY |
Addresses
Primary practice location
24302 Northern Blvd
Little Neck, NY 11362-1150
Mailing address
8134 190TH St
Jamaica, NY 11423-1041
Phone (718) 468-1809
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110217000061 | NY | Practitioner - Clinical Social Worker | 5496936957 | Practice locations: Great Neck, NY |
| I20140910001180 | NJ | Practitioner - Clinical Social Worker | 5496936957 | Practice locations: Boonton, NJ |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
550 W Main St
1 C/O Center for Mindful Change
Boonton, NJ 07005-1155
Phone (516) 350-0830
7 Bond St
1A
Great Neck, NY 11021-2412
Phone (576) 350-0830
8134 190TH St
Jamaica, NY 11423-1041
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 073545-1 | NY | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1280275200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1283212800000",
"number": "1962716332",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8134 190TH ST",
"city": "JAMAICA",
"state": "NY",
"postal_code": "114231041",
"telephone_number": "718-468-1809"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24302 NORTHERN BLVD",
"city": "LITTLE NECK",
"state": "NY",
"postal_code": "113621150",
"telephone_number": "718-423-6200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREENE",
"first_name": "MICHAEL",
"name_prefix": "Mr.",
"credential": "LMSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-07-28",
"last_updated": "2010-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NJ",
"license": "44SC05430800",
"primary": true
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "073545-1",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Little Neck, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.